The holder whose full name is Costa, Amanda De Souza,come from Indianapolis IN,hold the Pharmacy Technician license(NO.67016248A) which status is Expired.
| Name | Costa, Amanda De Souza |
|---|---|
| License Number | 67016248A |
| License Type | Pharmacy Technician |
| License Status | Expired |
| City | Indianapolis |
| State | IN |